Michael Gerard Noble, COTA MLD

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

L1358322 Issued in MI

Practice address

4013 Gratiot Ave
Fort Gratiot, MI 48059-3919

Phone

(810) 385-3026

Fax

(810) 385-3026

NPI assigned

Dec 5, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mr. Michael Gerard Noble Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Labaza Eyecare, P.C.

  • Optometrist
  • Rochester, MI
  • NPI 1619184850
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1275778102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4013 GRATIOT AVE",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480593919",
            "telephone_number": "810-385-3026",
            "fax_number": "810-385-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4013 GRATIOT AVE",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480593919",
            "telephone_number": "810-385-3026",
            "fax_number": "810-385-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "MICHAEL",
        "middle_name": "GERARD",
        "credential": "COTA MLD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-05",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "L1358322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "NOBLE",
            "middle_name": "GERARD",
            "prefix": "MR.",
            "credential": "COTA MLD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Neurosleep Center PLLC
• Newco Ambulatory Surgery Center, LLP
• Newco Ambulatory Surgery Center, LLP
• Greta Amaris Nichols, LBASW
• Kelsey Elaine Noble
• Nurtureher, PLLC
• Sandra Lynn O'Neill, LBSW
• Neal Edward Obermyer, M.D.
• Margaret Odoherty Nelson
• Shannon Oehmke

• Occupational Therapy Assistant in Fort Gratiot, MI
• Providers in Fort Gratiot, MI by specialty
• Occupational Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.